Sexual Health

LGBTQ+ sexual wellness

We support LGBTQ+ sexual wellness through prevention, screening, treatment and counseling for sexual health in an inclusive, respectful environment.

Sexual wellness for LGBTQ+ individuals includes physical, mental, and social aspects of sexual health. This encompasses prevention and treatment of sexually transmitted infections (STIs) and HIV, contraception and pregnancy care. Healthy relationships, consent, and safety are essential components of care.

Common Concerns and Symptoms
People often seek care for:

  • Unusual genital discharge, sores, bumps, or bleeding
  • Pain with urination or sex
  • Difficulty with libido or orgasm
  • Emotional or relationship concerns related to sexuality or body changes
  • Preventive care needs like routine STI/HIV screening, vaccinations, or PrEP

Causes and Contributing Factors
Sexual health concerns may arise from:

  • Infections (bacterial, viral, or parasitic)
  • Hormonal changes
  • Surgical changes
  • Mental health concerns (depression, anxiety, trauma)
  • Substance use
  • Social factors (stigma, discrimination, or limited access to affirming care)
  • Certain sexual behaviors (multiple partners, injection drug use, inconsistent screening)

Risk Factors
Risk varies by individual but can include:

  • Multiple or anonymous sexual partners
  • Incorrect or inconsistent use of condoms or barriers
  • Sex with partners of unknown STI/HIV status
  • Substance use during sex
  • Recent STI diagnosis
  • Being unvaccinated for HPV or hepatitis A/B
  • Limited access to affirming healthcare, particularly for transgender and gender-diverse individuals

Diagnosis and Screening
TidalHealth offers personalized screening based on your anatomy and risk factors, which may include:

  • HIV testing
  • Syphilis, gonorrhea, and chlamydia testing at potential exposure sites
  • Hepatitis B and C screening
  • HPV screening
    Screening can involve urine, blood, swabs, or visual exams. Vaccinations and prevention options, such as PrEP for HIV, are offered as needed.

Care Considerations
Our care approach is inclusive, confidential, and trauma informed. Providers account for effects of hormones or surgery on sexual function and adapt screenings accordingly. Counseling includes:

  • Safer sex and barrier methods
  • Lubrication guidance
  • Negotiating consent
  • Regular STI/HIV screening
    Mental health, relationship care, and social support are integral parts of sexual wellness.

When to Seek Care
Seek care promptly for:

  • New or concerning symptoms like sores, pain, unusual discharge, or fever
  • Possible HIV exposure
  • Questions about PrEP, contraception, hormone therapy, or surgeries
  • Emotional or relationship challenges affecting sexual well-being

How often should I get tested for STIs and HIV?
Annual testing is recommended for sexually active LGBTQ+ people, with more frequent testing (every 3–6 months) for those with multiple/anonymous partners, using PrEP, or after recent STI exposure.

Is PrEP safe and who should consider it?
PrEP is a daily or on-demand medication that greatly reduces HIV risk. It is generally well-tolerated, with monitoring for kidney function. People at higher risk — such as those with partners of unknown HIV status or those who inject drugs—should discuss PrEP with a provider.

How do hormones or gender-affirming surgery affect sexual health?
Hormones and surgeries can alter libido, genital sensitivity, erectile function, lubrication, and orgasm. Screening and preventive care may need adjustment. TidalHealth clinicians help manage side effects and adapt care to each individual.

What safer sex methods should I use?
Use condoms and dental dams correctly, apply lubricant, get vaccinated for HPV and hepatitis A/B, undergo regular STI testing, and communicate openly with partners. Sterile injection equipment reduces risk for people who inject drugs.

Do trans men need Pap tests?
If a trans man has a cervix, cervical cancer screening is recommended. Trauma-informed options, like self-swabs, are available when appropriate.

How can I find an LGBTQ+-friendly provider?
Look for clinics with clear support for diversity in sexual orientation and gender identity. TidalHealth welcomes all patients and respects preferred names, pronouns, and privacy.

What if I experience discrimination in healthcare?
You deserve respectful care. Reach out to clinic leadership, patient advocacy services, or a provider who offers affirming care.

Where can I get support for relationship or sexual well-being?
Mental health professionals, sex therapists, peer support groups, and community organizations can help with body image, desire differences, communication, and recovery from sexual trauma.

For urgent concerns — such as possible HIV exposure — or for individualized evaluation and timely options, contact TidalHealth or your healthcare practitioner.